| NPI | 1063983435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C10440) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA Mc61593997) |
| 101Y00000X Counselor (Licence: OR C10440) | |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2025-09-29 |